Check
coverage(s) desired. The Credit Union will disclose the cost of
this voluntary insurance to you. A separate enrollment form which
discloses the terms and conditions must be signed for coverage
to become effective.

Single Credit Life Insurance
Joint Credit Life Insurance
None

Applicant Information

Applicant's Name:

Account #:

Social Security #:

US Citizen:

Yes
No

Birthdate (MM/DD/YY):

Please indicate your marital status if you are applying for joint
credit, secured credit or if you live in a community property
state:

Marital Status:

Email Address :

Number of Dependants :

We consider the primary borrower one dependent, a spouse would be the second dependent and then children would be subsequent dependents.

Home Phone #:

Mobile Phone #:

Address :

City :

State:

Zip #:

Current Address since:

(MM/YY)

Rent
Own
Payment:

If less than 3 yrs enter previous address:

Number of months at residence:

Joint Applicant's Name:

Is Joint Applicant your spouse?
Yes
No

Account #:

Social Security #:

US Citizen:

Yes
No

Birthdate (MM/DD/YY):

Please indicate your marital status if you are applying for joint
credit, secured credit or if you live in a community property
state:

Marital Status:

Email Address :

Number of Dependants :

We consider the primary borrower one dependent, a spouse would be the second dependent and then children would be subsequent dependents.

Home Phone #:

Mobile Phone #:

Address :

City :

State:

Zip #:

Current Address since:

(MM/YY)

Rent
Own
Payment:

If less than 3 yrs enter previous address:

Number of months at residence:

Employment Information

Applicant Employer's Name:

Employer Phone #:

Employer Address :

Position:

Status:

Full Time
Part Time

Date Hired (MM/DD/YY):

Hourly Wage / Month Salary ($):

Other Income ($):

per Month

Other Income Source :

Prev. Employers Name:

Prev. Job Start Date:

Prev. Job End Date:

Joint App. Employer's Name:

Employer Phone #:

Employer Address :

Position:

Status:

Full Time
Part Time

Date Hired (MM/DD/YY):

Hourly Wage / Month Salary ($):

Other Income ($):

per Month

Other Income Source :

Prev. Employers Name:

Prev. Job Start Date:

Prev. Job End Date:

Personal Financial Profile

(You may choose to skip this section. Please answer questions below)

Assets

Estimated Value

Liabilities

Dollar Amount Owed

Cash in Credit Unions / Banks:

$
.00

Loans Owed to cpfcu:

$
.00

Stocks & Bonds:

$
.00

Credit Cards:

$
.00

Retirement:

$
.00

$
.00

Vehicle Year:
Make:
Vehicle Loan: $
.00

Vehicle Year:
Make:
Vehicle Loan: $
.00

Home:

$
.00

Mortgage:

$
.00

Other Real Estate:

$
.00

Other Real Estate Loans:

$
.00

$
.00

$
.00

$
.00

$
.00

$
.00

$
.00

$
.00

$
.00

Total Assets

$
.00

Total Loan Balances

$
.00

(Total Assets - Total Loan Balances) =
Net Worth

$
.00

These questions must be answered.

Have you ever filed for bankruptcy or had debt
adjustment under Chapter 13?

Are you a party in a lawsuit?

Have you ever had property
foreclosed or repossesion in the last 7 years?

Is your income likely to
decline in the next two years?

Are you co-maker/endorser on any loan not listed
above?

If yes then for whom?

If yes then to whom?

Are you a U.S. citizen or permanent
resident alien?

Applicant References (Nearest relative not living with you)

Reference #1

First Name:

Middle Name:

Last Name:

Suffix:

Home Phone Number:555-555-5555

What is their home address?

Street:

City:

State:

Zip:

What is the relationship?

Reference #2

First Name:

Middle Name:

Last Name:

Suffix:

Home Phone Number:555-555-5555

What is their home address?

Street:

City:

State:

Zip:

What is the relationship?

Co-applicant References (Nearest relative not living with you)

Reference #1

First Name:

Middle Name:

Last Name:

Suffix:

Home Phone Number:555-555-5555

What is their home address?

Street:

City:

State:

Zip:

What is the relationship?

Reference #2

First Name:

Middle Name:

Last Name:

Suffix:

Home Phone Number:555-555-5555

What is their home address?

Street:

City:

State:

Zip:

What is the relationship?

Submit Application

I/We understand that credit union membership is required to fully process this loan application and further documentation / signatures may be required. By submitting this form with your electronic signature(s), you agree that everything stated in this application is correct to the best of your knowledge and grant permission to Charleston Postal Federal Credit Union to perform the following. cpfcu is authorized to validate your information, investigate your creditworthiness, employment history, and obtain a credit report. You understand that any false or misleading statement in your application may cause any loan or extension of credit to be in default. You authorize us to accept your facsimile signatures on this application and agree that your facsimile signature will have the same legal force and effect as your original signature. You assume any risk that may be associated with permitting us to accept your facsimile signature. cpfcu may keep this application whether or not it is approved.

By pressing the "Submit Application" button below, you agree to the above statement.

To avoid delays in processing your request please provide us with the best method and time to contact.
Best method of contact:
Home Phone
Mobile Phone
Work Phone What time of day is best to call: